How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | None | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $23.44 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.92 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.68 | $4.90 | $4.90 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | None | $66.07 | $66.07 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $141.25 | Facility | None | $58.88 | $58.88 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $501.19 | Professional | None | $42.66 | $42.66 | $501.19 |
United Setting Facility Modifier None Typical Low $40.74 Median $46.77 Typical High $109.65 | Facility | None | $40.74 | $46.77 | $109.65 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $104.71 | Professional | None | $43.65 | $53.70 | $104.71 |
Where West Virginia sits
The same service costs 2.5 times more in Arkansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
West Virginia· 45th of 51
$48.98
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.